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Name Category Published
Palomar Medical Center v. Sebelius
Medical center cannot appeal initial decision to reopen Medicare patient's claim because such decisions are final.
Health Care Sep. 12, 2012
Shuts v. Covenant Holdco LLC
Resident in understaffed nursing home may sue facility despite absence of language in administrative regulations because patient's rights cannot be waived.
Health Care Aug. 16, 2012
International Rehabilitative Sciences Inc. v. Sebelius
Medicare Appeals Council properly denies coverage claims for medical device used to treat osteoarthritis where its decision was not arbitrary or unsupported.
Health Care Jul. 31, 2012
Back v. Sebelius
Medicare hospice beneficiaries may administratively appeal hospice provider’s refusal to provide drug and thus, claim seeking such administrative process is moot.
Health Care Jul. 6, 2012
National Federation of Independent Business v. Sebelius
Patient Protection and Affordable Care Act's individual mandate, which required individuals to maintain health insurance coverage, is constitutional under Taxing Clause.
Health Care Jun. 29, 2012
M.R. v. Dreyfus
Preliminary relief is appropriate where plaintiffs showed likelihood of irreparable injury due to reduced access to personal care services placing them at risk of institutionalization.
Health Care Jun. 19, 2012
Managed Pharmacy Care v. Sebelius
Restrictions on Medi-Cal reimbursement rate reductions improperly contravene authority of Secretary of Dept. of Health and Human Services.
Health Care May 29, 2012
People v. Guiamelon
Federal Medicaid anti-kickback statute does not preempt California’s anti-kickback statute where they shared consistent purpose of providing patient access to care.
Health Care Apr. 24, 2012
California Association for Health Services at Home v. State Dept. of Health Care Services
Although Dept. of Health Care Services is not required to consider provider costs in reviewing Medi-Cal reimbursement rates, review did not show rates were sufficient to enlist enough providers.
Health Care Mar. 27, 2012
California Society of Anesthesiologists v. Superior Court (Brown)
Governor does not abuse discretion in opting California out of federal law requiring physician supervision over nurse anesthetists to receive Medicare reimbursements.
Health Care Mar. 18, 2012
Nesson v. Northern Inyo County Local Hospital District
Lawsuit arising from challenge to hospital peer review activities constitutes official proceeding, which is subject to anti-SLAPP motion to strike.
Health Care Mar. 7, 2012
Douglas v. Independent Living Center of Southern California Inc.
Ninth Circuit must reconsider whether California’s amendments to Medicaid program violates Supremacy Clause in light of agency’s approval of amendments.
Health Care Feb. 23, 2012
Kaiser Foundation Health Plan Inc. v. Superior Court (Rahm)
Code of Civil Procedure Section 425.13 does not bar patient from seeking punitive damages in claim against health care service plan.
Health Care Feb. 16, 2012
Hutcherson v. Arizona Health Care Cost Containment System Administration
State may recover medical care costs from spouse's annuity, which was created in order to spend down assets to qualify for Medicaid.
Health Care Jan. 30, 2012
M.R. v. Dreyfus
Preliminary relief is appropriate where plaintiffs showed likelihood of irreparable injury due to reduced access to personal care services placing them at risk of institutionalization.
Health Care Dec. 19, 2011